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Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Bellefonte Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
1000 ASHLAND DR, STE. 104, ASHLAND, KY 41101-7084
(606) 833-6260
(606) 833-6261
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-3333
(606) 833-4668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000674877
ANTHEM BCBS
KY
05
—
3112143
—
OH
05
—
7100131520
—
KY
Enumeration date
08/03/2010
Last updated
05/17/2019
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